Organization
G ELLIOTT HOULDINGS LLC
Active
Other names
Lauderdale Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY ELLIOTT (PRESIDENT)
(601) 527-6316
Entity
Organization
Contact information
Practice address
5408 1ST ST, MERIDIAN, MS 39307-6663
(601) 527-6316
(601) 553-0730
Mailing address
5408 1ST ST, MERIDIAN, MS 39307-6663
(601) 527-6316
(601) 553-0730
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
08554/11.1
MS
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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